Russo, Carmine Carlo
Russo, Carmine Carlo is an individual health care provider with primary practice located at 6 Prospect St Suite 1A, Midland Park NJ 07432-1606. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Russo, Carmine Carlo can be contacted via phone (201) 445-5555.Contact Information
Primary practice address
6 Prospect St Suite 1A
Midland Park NJ 07432-1606
Phone: (201) 445-5555
Fax: (201) 445-5057
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DI018375 | New Jersey |
Profile Details
| NPI number | 1295846921 |
|---|---|
| LBN Legal business name | Russo, Carmine Carlo |
| Credentials | DMD, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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